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Tooth Wear: Causes, Treatment & Prevention

Dr. Gilberte Rechdan27 May 2022

Tooth wear is the loss of tooth structure that is not related to caries. It is subdivided into attrition, erosion, and abrasion.

  • Attrition is the loss of tooth structure due to tooth-to-tooth friction such as chewing, bad occlusion, and grinding.
  • Erosion is the wearing away of the tooth surface by chemical processes such as acidic or sugary food and drinks, acid reflux, bulimia, etc.
  • Abrasion is commonly caused by friction or mechanical forces from foreign objects such as toothbrushes, pencil, etc.

How can we prevent and treat tooth wear?

  1. First, we address the root cause.
    • Grinding – night guards
    • Bad occlusion – orthodontics
    • Hard, excessive brushing – soft toothbrush and a good brushing technique
    • Acid reflux – consult with your physician
    • Acidic or sugary food and drinks – diet changes
  2. Second, we monitor the tooth wear.
  3. Third, we treat tooth wear when:
    • It becomes too sensitive.
    • It puts the tooth at risk.
    • The patient is unhappy with the aesthetics of the tooth, consistent food trap, and sensitivity

Here’s an example of tooth wear treated with fillings.

Dental Fillings
Dental Fillings
Dental Fillings
© Cases by Dr. Gilberte Rechdan

The patient came in with this big surprise. He had twenty Class V composites debonded one after the other over two years during the pandemic. The best treatment course is to treat these Class V with composite fillings and implement lifestyle changes when it comes to his diet, brushing technique and a night guard.

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